Individual
STEPHAN ANTHONY AMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 746-1166
(541) 746-6736
Mailing address
147 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 746-1166
(541) 746-6736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16281
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063446
—
OR
Enumeration date
05/11/2006
Last updated
07/08/2007
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